A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa

Epidermolysis bullosa (EB) is a rare disorder caused by autosomal genetic variation. Its main clinical features include skin and mucous membrane blisters, erosion, repeated ulcers and scar formation. The lesions mostly involve the skin, oral cavity, digestive system and urinary system. Epidermolysis...

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Main Authors: Zhen Xu, Yong Zhang, Yanjiao Hu, Xia Xiu, Bowen Yang, Tianqiao Huang, Yichuan Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1157563/full
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author Zhen Xu
Yong Zhang
Yanjiao Hu
Xia Xiu
Bowen Yang
Tianqiao Huang
Yichuan Huang
author_facet Zhen Xu
Yong Zhang
Yanjiao Hu
Xia Xiu
Bowen Yang
Tianqiao Huang
Yichuan Huang
author_sort Zhen Xu
collection DOAJ
description Epidermolysis bullosa (EB) is a rare disorder caused by autosomal genetic variation. Its main clinical features include skin and mucous membrane blisters, erosion, repeated ulcers and scar formation. The lesions mostly involve the skin, oral cavity, digestive system and urinary system. Epidermolysis bullosa complicated with esophageal stenosis is a common gastrointestinal manifestation of this disorder. Currently, there is no cure for EB, and thus symptomatic treatment is usually applied. Here we describe the case of a patient with recessive dystrophic EB complicated with severe esophageal stenosis. The narrow segment of esophagus was removed and the free part of jejunum was transplanted into the esophageal defect to reconstruct the esophagus and restore the patient’s normal swallowing. For patients with EB complicated with severe esophageal stenosis, surgical resection of the diseased esophagus and jejunal transplantation can be used to repair the esophageal and restore normal swallowing pathway, providing an effective treatment for this condition.
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spelling doaj.art-f55179cd68c940cc818ed0bba64cf0df2023-11-07T03:21:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-11-011310.3389/fonc.2023.11575631157563A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosaZhen Xu0Yong Zhang1Yanjiao Hu2Xia Xiu3Bowen Yang4Tianqiao Huang5Yichuan Huang6Deparment of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Stomatology, The Huangdao District Central Hospital, Qingdao, ChinaDeparment of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Stomatology, The Huangdao District Central Hospital, Qingdao, ChinaDeparment of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDeparment of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDeparment of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaEpidermolysis bullosa (EB) is a rare disorder caused by autosomal genetic variation. Its main clinical features include skin and mucous membrane blisters, erosion, repeated ulcers and scar formation. The lesions mostly involve the skin, oral cavity, digestive system and urinary system. Epidermolysis bullosa complicated with esophageal stenosis is a common gastrointestinal manifestation of this disorder. Currently, there is no cure for EB, and thus symptomatic treatment is usually applied. Here we describe the case of a patient with recessive dystrophic EB complicated with severe esophageal stenosis. The narrow segment of esophagus was removed and the free part of jejunum was transplanted into the esophageal defect to reconstruct the esophagus and restore the patient’s normal swallowing. For patients with EB complicated with severe esophageal stenosis, surgical resection of the diseased esophagus and jejunal transplantation can be used to repair the esophageal and restore normal swallowing pathway, providing an effective treatment for this condition.https://www.frontiersin.org/articles/10.3389/fonc.2023.1157563/fullepidermolysis bullosaesophageal stenosisdysphagiajejunum transplantationsurgical treatment
spellingShingle Zhen Xu
Yong Zhang
Yanjiao Hu
Xia Xiu
Bowen Yang
Tianqiao Huang
Yichuan Huang
A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
Frontiers in Oncology
epidermolysis bullosa
esophageal stenosis
dysphagia
jejunum transplantation
surgical treatment
title A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
title_full A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
title_fullStr A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
title_full_unstemmed A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
title_short A case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
title_sort case report of jejunum transplantation in the treatment of severe cervical esophageal stricture in patients with dystrophic epidermolysis bullosa
topic epidermolysis bullosa
esophageal stenosis
dysphagia
jejunum transplantation
surgical treatment
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1157563/full
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